{
  "format": "CNO retained hospital records v1",
  "hcaiId": "106540734",
  "profileRecord": {
    "id": "106540734",
    "name": "KAWEAH DELTA MEDICAL CENTER",
    "county": "Tulare",
    "tier": "DESCRIPTIVE PROFILE — NO STATE CALL",
    "identity": "CLEAR — UNIQUE ID MATCH",
    "workforce": "PRESENT — 2024",
    "capacity": "PRESENT — 2025",
    "history": "UNIQUE",
    "filing": "Audited",
    "pilot": false,
    "ceiling": "UNCLASSIFIED — INSUFFICIENT INDEPENDENT AUDIT",
    "disclosure": "Workforce reporting year 2024; capacity reporting year 2025; not a same-period state assessment.",
    "next": "Acquire third independent audited domain before any state call",
    "ownership": "District",
    "type": "Comparable",
    "rnHours": 1591515,
    "contractHours": 158777,
    "contractShare": 0.04739,
    "rnPerPatientDay": 11.12419,
    "licensedBeds": 613,
    "availableBeds": 608,
    "staffedBeds": 423,
    "capacityPatientDays": 138453,
    "baseline": 0.03491,
    "changePp": 1.24852,
    "ccn": null
  },
  "comparisonEligibility": {
    "rnHistory": true,
    "agencyHistory": true
  },
  "records": {
    "facilityRosterRecord": {
      "officialName": "KAWEAH HEALTH MEDICAL CENTER",
      "county": "Tulare",
      "city": "VISALIA",
      "address": "400 WEST MINERAL KING",
      "zip": "93291",
      "level": "Parent Facility",
      "category": "General Acute Care Hospital",
      "status": "Open",
      "statusEffective": "1969-06-22",
      "licensedBeds": 435,
      "erServiceLevel": "Emergency - Basic",
      "licenseNumber": "120000580",
      "rosterDate": "2026-10-01",
      "checkedOn": "2026-10-12",
      "sourceRow": 500,
      "officialUrl": "https://data.chhs.ca.gov/dataset/licensed-healthcare-facility-listing",
      "sourceFile": "/downloads/coverage/hcai-current-20261001.json.gz",
      "aliases": [
        "KAWEAH HEALTH MEDICAL CENTER"
      ],
      "parentId": null,
      "parentName": null,
      "cdphFacilityType": "GENERAL ACUTE CARE HOSPITAL",
      "crosswalkRows": [
        {
          "_id": 2504,
          "LICENSED_CERTIFIED": "LICENSED AND CERTIFIED",
          "ELMS_FACID": "120001444",
          "LICENSE_NUMBER": "120000580",
          "LICENSE_STATUS_DESCRIPTION": "ACTIVE",
          "PERM_ID": "12601",
          "HCAI_ID": "106540734",
          "ASPEN_FACID": "CA040000106",
          "CCN": "050057",
          "NPI": "1588663769",
          "ASPEN_STATUS": "ACTIVE",
          "FACNAME": "KAWEAH HEALTH MEDICAL CENTER",
          "FAC_TYPE_DESCRIPTION": "GENERAL ACUTE CARE HOSPITAL",
          "FAC_FDR": "GENERAL ACUTE CARE HOSPITAL",
          "FAC_FAC_RELATIONSHIP": "Parent",
          "ELMS_PARENT_FACID": null
        }
      ],
      "addedByCoverageAudit": false
    },
    "annualFinancialRecords": [
      {
        "year": 2022,
        "begin": "2021-07-01",
        "end": "2022-06-30",
        "reportDays": 365.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 195,
        "name": "KAWEAH DELTA MEDICAL CENTER",
        "county": "Tulare",
        "rnHours": 1787618.0,
        "patientDays": 162047.0,
        "ratio": 11.031478521663468,
        "components": {
          "PRD_HR_RN": 1787618.0,
          "PRD_HR_LVN": 224942.0,
          "PRD_HR_AID": 1320149.0,
          "CNT_HR_RN": 224574.0
        },
        "nursingHours": 3557283.0,
        "contractShare": 0.06313076581199753,
        "careDays": {
          "DAY_ACUTE": 122273.0,
          "DAY_PSYCH": 14513.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 5967.0,
          "DAY_LTC": 19294.0,
          "DAY_RESDNT": 0.0
        }
      },
      {
        "year": 2023,
        "begin": "2022-07-01",
        "end": "2023-06-30",
        "reportDays": 365.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 193,
        "name": "KAWEAH DELTA MEDICAL CENTER",
        "county": "Tulare",
        "rnHours": 1608406.0,
        "patientDays": 147494.0,
        "ratio": 10.904891046415447,
        "components": {
          "PRD_HR_RN": 1608406.0,
          "PRD_HR_LVN": 283830.0,
          "PRD_HR_AID": 1311198.0,
          "CNT_HR_RN": 303668.0
        },
        "nursingHours": 3507102.0,
        "contractShare": 0.08658658915537672,
        "careDays": {
          "DAY_ACUTE": 107177.0,
          "DAY_PSYCH": 15879.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 6647.0,
          "DAY_LTC": 17791.0,
          "DAY_RESDNT": 0.0
        }
      },
      {
        "year": 2024,
        "begin": "2023-07-01",
        "end": "2024-06-30",
        "reportDays": 366.0,
        "filing": "Audited",
        "type": "Comparable",
        "sourceRecord": 194,
        "name": "KAWEAH DELTA MEDICAL CENTER",
        "county": "Tulare",
        "rnHours": 1591515.0,
        "patientDays": 143068.0,
        "ratio": 11.12418570190399,
        "components": {
          "PRD_HR_RN": 1591515.0,
          "PRD_HR_LVN": 324652.0,
          "PRD_HR_AID": 1275184.0,
          "CNT_HR_RN": 158777.0
        },
        "nursingHours": 3350128.0,
        "contractShare": 0.04739430851597312,
        "careDays": {
          "DAY_ACUTE": 106006.0,
          "DAY_PSYCH": 15303.0,
          "DAY_CHEM": 0.0,
          "DAY_REHAB": 6579.0,
          "DAY_LTC": 15180.0,
          "DAY_RESDNT": 0.0
        }
      }
    ],
    "annualUtilizationRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2022",
        "sourceRow": 483,
        "diversionReported": "No",
        "icuLicensed": 41,
        "nicuLicensed": 23,
        "perinatalLicensed": 89,
        "edStations": 78,
        "edNonAdmitVisits": 64000,
        "edAdmissions": 14363,
        "diversionHours": null
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2023",
        "sourceRow": 489,
        "diversionReported": "No",
        "icuLicensed": 41,
        "nicuLicensed": 23,
        "perinatalLicensed": 89,
        "edStations": 73,
        "edNonAdmitVisits": 72667,
        "edAdmissions": 19349,
        "diversionHours": null
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "operated": "Yes",
        "sourceId": "AUR-2024",
        "sourceRow": 487,
        "diversionReported": "No",
        "icuLicensed": 41,
        "nicuLicensed": 23,
        "perinatalLicensed": 89,
        "edStations": 73,
        "edNonAdmitVisits": 72122,
        "edAdmissions": 13391,
        "diversionHours": null
      }
    ],
    "licensedCareRecords": [
      {
        "year": 2022,
        "begin": "2022-01-01",
        "end": "2022-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 480,
          "psychiatric": 63,
          "chemical": 0,
          "skilledNursing": 70,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 613,
        "sourceRow": 483,
        "sourceId": "AUR-2022"
      },
      {
        "year": 2023,
        "begin": "2023-01-01",
        "end": "2023-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 525,
          "psychiatric": 63,
          "chemical": 0,
          "skilledNursing": 70,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 658,
        "sourceRow": 489,
        "sourceId": "AUR-2023"
      },
      {
        "year": 2024,
        "begin": "2024-01-01",
        "end": "2024-12-31",
        "operated": "Yes",
        "beds": {
          "acute": 480,
          "psychiatric": 63,
          "chemical": 0,
          "skilledNursing": 70,
          "intermediateCare": 0,
          "developmentalCare": 0
        },
        "total": 613,
        "sourceRow": 487,
        "sourceId": "AUR-2024"
      }
    ],
    "ambulanceOffloadRecords": {
      "cemsisId": "20219",
      "name": "Kaweah Delta Medical Center",
      "lemsa": "Central California",
      "method": "unique normalized hospital / retained CMS name + EMS geography",
      "history": [
        {
          "month": "2024-10",
          "minutes": 50.93333333333333,
          "offloadCount": 2075,
          "countPage": 29,
          "rawTime": "0:50:56",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 19,
          "row": 21
        },
        {
          "month": "2024-11",
          "minutes": 47.28333333333333,
          "offloadCount": 1994,
          "countPage": 34,
          "rawTime": "0:47:17",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 19,
          "row": 21
        },
        {
          "month": "2024-12",
          "minutes": 50.13333333333333,
          "offloadCount": 2185,
          "countPage": 40,
          "rawTime": "0:50:08",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 19,
          "row": 21
        },
        {
          "month": "2025-01",
          "minutes": 57.333333333333336,
          "offloadCount": 2199,
          "countPage": 45,
          "rawTime": "0:57:20",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 19,
          "row": 21
        },
        {
          "month": "2025-02",
          "minutes": 52.68333333333333,
          "offloadCount": 1937,
          "countPage": 49,
          "rawTime": "0:52:41",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 19,
          "row": 21
        },
        {
          "month": "2025-03",
          "minutes": 47.31666666666667,
          "offloadCount": 2110,
          "countPage": 54,
          "rawTime": "0:47:19",
          "sourceId": "EMSA-APOT-JUNE2025",
          "page": 19,
          "row": 21
        }
      ],
      "recent": {
        "month": "2026-01",
        "minutes": 49.38333333333333,
        "rawTime": "0:49:23",
        "offloadCount": 2229,
        "standardMinutes": 30.0,
        "rawStandard": "0:30:00",
        "compliantPercent": 57.2,
        "sourceId": "EMSA-APOT-FEB2026",
        "page": 5,
        "rawLine": "Central California EMS Agency 20219 Kaweah Delta Medical Center 2229 0:49:23 0:30:00 0:19:23 57.2%"
      }
    },
    "rnReferenceRecord": {
      "begin": "2023-07-01",
      "end": "2024-06-30",
      "reportDays": 366,
      "filing": "Audited",
      "type": "Comparable",
      "ratio": 11.12418570190399,
      "rnHours": 1591515,
      "patientDays": 143068,
      "careDays": {
        "acute": 106006,
        "psychiatric": 15303,
        "chemical": 0,
        "rehabilitation": 6579,
        "longTermCare": 15180,
        "residential": 0
      },
      "group": "acute",
      "majorityShare": 0.7409483602203149,
      "sourceRow": 194
    },
    "quarterlyHistory": [
      {
        "period": "2025-q1",
        "begin": "2025-01-01",
        "end": "2025-03-31",
        "sourceRecord": 196,
        "sourceFile": "/downloads/deep-review/qfu-2025-q1.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=6e956cf6-5ced-4f4d-9cfd-0eb709b02cc3&limit=10000",
        "name": "KAWEAH DELTA MEDICAL CENTER",
        "address": "400 WEST MINERAL KING",
        "city": "VISALIA",
        "zip": "93291",
        "operationStatus": "Open",
        "licensedBeds": 613.0,
        "availableBeds": 608.0,
        "staffedBeds": 466.0,
        "patientDays": 36504.0,
        "outpatientVisits": 151062.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106540734",
          "YEAR_QTR": "20251",
          "BEG_DATE": "01/01/2025",
          "END_DATE": "03/31/2025",
          "LIC_BEDS": "613",
          "AVL_BEDS": "608",
          "STF_BEDS": "466",
          "DAY_TOT": "36504",
          "VIS_TOT": "151062"
        }
      },
      {
        "period": "2025-q2",
        "begin": "2025-04-01",
        "end": "2025-06-30",
        "sourceRecord": 194,
        "sourceFile": "/downloads/deep-review/qfu-2025-q2.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=f902f922-6806-49c4-bfed-b1dadaab3cc1&limit=10000",
        "name": "KAWEAH DELTA MEDICAL CENTER",
        "address": "400 WEST MINERAL KING",
        "city": "VISALIA",
        "zip": "93291",
        "operationStatus": "Open",
        "licensedBeds": 613.0,
        "availableBeds": 608.0,
        "staffedBeds": 421.0,
        "patientDays": 33510.0,
        "outpatientVisits": 156273.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106540734",
          "YEAR_QTR": "20252",
          "BEG_DATE": "04/01/2025",
          "END_DATE": "06/30/2025",
          "LIC_BEDS": "613",
          "AVL_BEDS": "608",
          "STF_BEDS": "421",
          "DAY_TOT": "33510",
          "VIS_TOT": "156273"
        }
      },
      {
        "period": "2025-q3",
        "begin": "2025-07-01",
        "end": "2025-09-30",
        "sourceRecord": 193,
        "sourceFile": "/downloads/deep-review/qfu-2025-q3.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=15939e50-5c82-46af-9653-d40a5458dc26&limit=10000",
        "name": "KAWEAH DELTA MEDICAL CENTER",
        "address": "400 WEST MINERAL KING",
        "city": "VISALIA",
        "zip": "93291",
        "operationStatus": "Open",
        "licensedBeds": 613.0,
        "availableBeds": 608.0,
        "staffedBeds": 427.0,
        "patientDays": 34209.0,
        "outpatientVisits": 158251.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106540734",
          "YEAR_QTR": "20253",
          "BEG_DATE": "07/01/2025",
          "END_DATE": "09/30/2025",
          "LIC_BEDS": "613",
          "AVL_BEDS": "608",
          "STF_BEDS": "427",
          "DAY_TOT": "34209",
          "VIS_TOT": "158251"
        }
      },
      {
        "period": "2025-q4",
        "begin": "2025-10-01",
        "end": "2025-12-31",
        "sourceRecord": 192,
        "sourceFile": "/downloads/deep-review/qfu-2025-q4.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=8a512ca9-560e-4fcc-9c57-c928c874231b&limit=10000",
        "name": "KAWEAH DELTA MEDICAL CENTER",
        "address": "400 WEST MINERAL KING",
        "city": "VISALIA",
        "zip": "93291",
        "operationStatus": "Open",
        "licensedBeds": 613.0,
        "availableBeds": 608.0,
        "staffedBeds": 423.0,
        "patientDays": 34230.0,
        "outpatientVisits": 152562.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106540734",
          "YEAR_QTR": "20254",
          "BEG_DATE": "10/01/2025",
          "END_DATE": "12/31/2025",
          "LIC_BEDS": "613",
          "AVL_BEDS": "608",
          "STF_BEDS": "423",
          "DAY_TOT": "34230",
          "VIS_TOT": "152562"
        }
      },
      {
        "period": "2026-q1",
        "begin": "2026-01-01",
        "end": "2026-03-31",
        "sourceRecord": 192,
        "sourceFile": "/downloads/deep-review/qfu-2026-q1.json.gz",
        "sourceUrl": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=46f2a36e-e0ca-4509-a89a-2083e356169d&limit=10000",
        "name": "KAWEAH DELTA MEDICAL CENTER",
        "address": "400 WEST MINERAL KING",
        "city": "VISALIA",
        "zip": "93291",
        "operationStatus": "Open",
        "licensedBeds": 613.0,
        "availableBeds": 608.0,
        "staffedBeds": 470.0,
        "patientDays": 37283.0,
        "outpatientVisits": 147130.0,
        "conflict": null,
        "raw": {
          "FAC_NO": "106540734",
          "YEAR_QTR": "20261",
          "BEG_DATE": "01/01/2026",
          "END_DATE": "03/31/2026",
          "LIC_BEDS": "613",
          "AVL_BEDS": "608",
          "STF_BEDS": "470",
          "DAY_TOT": "37283",
          "VIS_TOT": "147130"
        }
      }
    ]
  },
  "quarterlyComparison": null,
  "sources": {
    "annualFinancial": [
      {
        "year": 2022,
        "file": "/downloads/hcai/afd-2022-api.json",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=28df017b-7693-4d83-b105-69eeca4a12e0&limit=10000",
        "sha256": "a79841850b69181682634b9cf5baafc9886fc80761f7ef7bd18281d87c488e8e",
        "locator": "API record ID",
        "records": 444
      },
      {
        "year": 2023,
        "file": "/downloads/hcai/afd-2023-api.json",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=244efb23-daf0-4137-9609-1bc25e4612b8&limit=10000",
        "sha256": "50ecefcc9e0613b9c65c7f292acbb5ea45d82205d0ec651ee7a42c153143a4ba",
        "locator": "API record ID",
        "records": 447
      },
      {
        "year": 2024,
        "file": "/downloads/hcai/hadr-2024.xlsx",
        "url": "https://data.chhs.ca.gov/dataset/ea0c8ca9-023e-46a3-b95b-b9d4ab8ec195/resource/3969a3b0-ec23-4962-b09d-89840a326b44/download/hadr-2024.xlsx",
        "sha256": "0fcc4c3c52f335adc63699cf65d5ecbe28b94bb2d20433508cfe799e82541e26",
        "locator": "HADR 01-01-2024 to 12-31-2024 row",
        "records": 444
      }
    ],
    "annualUtilization": [
      {
        "id": "AUR-2022",
        "sha256": "e94af1efd72ea5eec5d8db0302c3cb9f7070d0eac794be60d51909df5beaa466",
        "file": "/downloads/hcai/hosp22_util_data_final_revised_11.28.2023.xlsx",
        "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/2b63a9e4-f695-4ea1-b229-5dff70f04ae8/download/hosp22_util_data_final_revised_11.28.2023.xlsx"
      },
      {
        "id": "AUR-2023",
        "sha256": "26de94367bc4c9056a18cd7517dbedc377bb2dea6d9b54627a4c87dd43a1c9f1",
        "file": "/downloads/hcai/hosp23_util_data_final.xlsx",
        "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/d7b1bd2c-fd8c-4ebe-b1ac-1de197c01e5e/download/hosp23_util_data_final.xlsx"
      },
      {
        "id": "AUR-2024",
        "sha256": "f423f999c729ee333169bd161ade11550158d5147ae1ed91c1cfafe2d3e6f953",
        "file": "/downloads/hcai/hosp24_util_data_final.xlsx",
        "officialUrl": "https://data.chhs.ca.gov/dataset/1902083c-f16a-434d-b8ac-f7a573a305df/resource/e4f70066-c0ca-40f9-8f54-0ea033f900d9/download/hosp24_util_data_final.xlsx"
      }
    ],
    "ambulanceOffload": [
      {
        "id": "EMSA-APOT-JUNE2025",
        "url": "https://emsa.ca.gov/wp-content/uploads/sites/71/2025/07/Ambulance-Patient-Offload-Delays-Report-to-the-Commission-on-EMS-June-2025.pdf",
        "file": "/downloads/emsa/apot-june2025.pdf",
        "period": "October 2024–March 2025",
        "checked": "2026-10-03",
        "sha256": "d23ed95df643fe752ac0f8c8038b8575b0ac31d5ce9cf5406fb600a9fa93f401"
      },
      {
        "id": "EMSA-APOT-FEB2026",
        "url": "https://emsa.ca.gov/wp-content/uploads/sites/71/2026/02/February-2026-APOT-Exceedance-Report-to-the-Commission-on-EMS.pdf",
        "file": "/downloads/emsa/apot-feb2026.pdf",
        "period": "January 2026",
        "checked": "2026-10-03",
        "sha256": "b2dbac3bf6ce822c8c3f0e5d586874c13242bd4ed0998dda5b36fbdf0211d3d7"
      }
    ],
    "quarterlyHistory": [
      {
        "period": "2025-q1",
        "file": "/downloads/deep-review/qfu-2025-q1.json.gz",
        "sha256": "2ac1fa350a971ab0bfadd9dffcd35f92222464de76b9de9262663961996b1784",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=6e956cf6-5ced-4f4d-9cfd-0eb709b02cc3&limit=10000"
      },
      {
        "period": "2025-q2",
        "file": "/downloads/deep-review/qfu-2025-q2.json.gz",
        "sha256": "eee229d4e6254937428d82f8be278a29766ce4a320aa54974d99c7ceca771b65",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=f902f922-6806-49c4-bfed-b1dadaab3cc1&limit=10000"
      },
      {
        "period": "2025-q3",
        "file": "/downloads/deep-review/qfu-2025-q3.json.gz",
        "sha256": "2bfe93bafc7bb6c3076f1b014ca1c345af8770f36b10f41cdb1ff98d2c9e6d2b",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=15939e50-5c82-46af-9653-d40a5458dc26&limit=10000"
      },
      {
        "period": "2025-q4",
        "file": "/downloads/deep-review/qfu-2025-q4.json.gz",
        "sha256": "7b93f40b26b152c701a47d4704b78de12fce37cabd6785eaef8ea5740f24b1f8",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=8a512ca9-560e-4fcc-9c57-c928c874231b&limit=10000"
      },
      {
        "period": "2026-q1",
        "file": "/downloads/deep-review/qfu-2026-q1.json.gz",
        "sha256": "73658d202b8442fcc350747a900a552008065b91f39bbd6f96a29159eefb5dec",
        "url": "https://data.chhs.ca.gov/api/3/action/datastore_search?resource_id=46f2a36e-e0ca-4509-a89a-2083e356169d&limit=10000"
      }
    ]
  },
  "profileRecordProvenance": "Existing CNO reporting layers. Exact source locators are retained where recorded in the records below."
}